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Myelomeningocele Surgery over the 10 Years Following the MOMS Trial: A Systematic Review of Outcomes in Prenatal versus Postnatal Surgical Repair
Background and Objectives: Myelomeningocele is the most severe form of spina bifida, a congenital neural tube defect arising from an incomplete neural tube closure during early development with damage worsening with advancing gestational age. The Management of Myelomeningocele Study (MOMS) Trial pro...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8307221/ https://www.ncbi.nlm.nih.gov/pubmed/34356988 http://dx.doi.org/10.3390/medicina57070707 |
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author | Paslaru, Francesca Gabriela Panaitescu, Anca Maria Iancu, George Veduta, Alina Gica, Nicolae Paslaru, Alexandru Catalin Gheorghiu, Anamaria Peltecu, Gheorghe Gorgan, Radu Mircea |
author_facet | Paslaru, Francesca Gabriela Panaitescu, Anca Maria Iancu, George Veduta, Alina Gica, Nicolae Paslaru, Alexandru Catalin Gheorghiu, Anamaria Peltecu, Gheorghe Gorgan, Radu Mircea |
author_sort | Paslaru, Francesca Gabriela |
collection | PubMed |
description | Background and Objectives: Myelomeningocele is the most severe form of spina bifida, a congenital neural tube defect arising from an incomplete neural tube closure during early development with damage worsening with advancing gestational age. The Management of Myelomeningocele Study (MOMS) Trial proved that surgery performed before 26 weeks of gestation significantly improved the prognosis, significantly changing treatment paradigms. This article aims to provide a review of the changes and updates in spina bifida repair over the 10-year period following the MOMS Trial. Material and methods: We performed a systematic review in the PubMed and Cochrane databases as well as a hand-search of high-impact journals using the reference list of all identified articles, searching for randomized controlled trials and observational studies. Results: We identified 27 articles published between 2011 and 2021 that fulfilled the inclusion criteria and review them in the present study. Conclusions: With growing experience and with the improvement of prenatal open and fetoscopic techniques, the outcome of SB-associated conditions could be improved and the risks to both the mother and the fetus reduced. A continuous follow-up of the treated infants and further randomized trials are essential to study the complications and advantages or disadvantages of any given treatment strategy. |
format | Online Article Text |
id | pubmed-8307221 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-83072212021-07-25 Myelomeningocele Surgery over the 10 Years Following the MOMS Trial: A Systematic Review of Outcomes in Prenatal versus Postnatal Surgical Repair Paslaru, Francesca Gabriela Panaitescu, Anca Maria Iancu, George Veduta, Alina Gica, Nicolae Paslaru, Alexandru Catalin Gheorghiu, Anamaria Peltecu, Gheorghe Gorgan, Radu Mircea Medicina (Kaunas) Systematic Review Background and Objectives: Myelomeningocele is the most severe form of spina bifida, a congenital neural tube defect arising from an incomplete neural tube closure during early development with damage worsening with advancing gestational age. The Management of Myelomeningocele Study (MOMS) Trial proved that surgery performed before 26 weeks of gestation significantly improved the prognosis, significantly changing treatment paradigms. This article aims to provide a review of the changes and updates in spina bifida repair over the 10-year period following the MOMS Trial. Material and methods: We performed a systematic review in the PubMed and Cochrane databases as well as a hand-search of high-impact journals using the reference list of all identified articles, searching for randomized controlled trials and observational studies. Results: We identified 27 articles published between 2011 and 2021 that fulfilled the inclusion criteria and review them in the present study. Conclusions: With growing experience and with the improvement of prenatal open and fetoscopic techniques, the outcome of SB-associated conditions could be improved and the risks to both the mother and the fetus reduced. A continuous follow-up of the treated infants and further randomized trials are essential to study the complications and advantages or disadvantages of any given treatment strategy. MDPI 2021-07-12 /pmc/articles/PMC8307221/ /pubmed/34356988 http://dx.doi.org/10.3390/medicina57070707 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Systematic Review Paslaru, Francesca Gabriela Panaitescu, Anca Maria Iancu, George Veduta, Alina Gica, Nicolae Paslaru, Alexandru Catalin Gheorghiu, Anamaria Peltecu, Gheorghe Gorgan, Radu Mircea Myelomeningocele Surgery over the 10 Years Following the MOMS Trial: A Systematic Review of Outcomes in Prenatal versus Postnatal Surgical Repair |
title | Myelomeningocele Surgery over the 10 Years Following the MOMS Trial: A Systematic Review of Outcomes in Prenatal versus Postnatal Surgical Repair |
title_full | Myelomeningocele Surgery over the 10 Years Following the MOMS Trial: A Systematic Review of Outcomes in Prenatal versus Postnatal Surgical Repair |
title_fullStr | Myelomeningocele Surgery over the 10 Years Following the MOMS Trial: A Systematic Review of Outcomes in Prenatal versus Postnatal Surgical Repair |
title_full_unstemmed | Myelomeningocele Surgery over the 10 Years Following the MOMS Trial: A Systematic Review of Outcomes in Prenatal versus Postnatal Surgical Repair |
title_short | Myelomeningocele Surgery over the 10 Years Following the MOMS Trial: A Systematic Review of Outcomes in Prenatal versus Postnatal Surgical Repair |
title_sort | myelomeningocele surgery over the 10 years following the moms trial: a systematic review of outcomes in prenatal versus postnatal surgical repair |
topic | Systematic Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8307221/ https://www.ncbi.nlm.nih.gov/pubmed/34356988 http://dx.doi.org/10.3390/medicina57070707 |
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